Fatalism as a Mediator of the Association Between Family Resilience and Self-Management Among Patients with Chronic Wounds in China

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Abstract

Purpose

The purpose of this study was to examine how fatalism acts as a mediator in the correlation between family resilience and self-management among patients with chronic wounds in China.

Participants and Methods

This study used a cross-sectional research design. A total of 269 adult patients (18–94 years old) with chronic wounds residing in Wuxi, China participated in this study. Participants completed the Chinese version of the Walsh Family Resilience Questionnaire, 16-item Chinese version of the Fatalism Scale, and Self-Management Scale of Chronic Wound Patients. We conducted correlation and mediation analyses using SPSS 27.0 and PROCESS 4.0.

Results

The results indicated family resilience was a significant positive predictor of self-management (β = 0.7101, p < 0.0001), and the pathway between family resilience and self-management was partially mediated by fatalism (Effect = 0.1432, 95% confidence interval [0.0625, 0.2341]).

Conclusion

The results indicated that incorporating spiritual interventions into future person-centered self-management programs could align with the motivation of patients with chronic wounds and their families, and reduce the negative impact of fatalism on health outcomes.

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Most cited references 78

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SPSS and SAS procedures for estimating indirect effects in simple mediation models

Kristopher J Preacher, Andrew Hayes (2004)

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Is Open Access

Challenges in the Treatment of Chronic Wounds

Robert G. Frykberg, Jaminelli Banks (2015)

Significance: Chronic wounds include, but are not limited, to diabetic foot ulcers, venous leg ulcers, and pressure ulcers. They are a challenge to wound care professionals and consume a great deal of healthcare resources around the globe. This review discusses the pathophysiology of complex chronic wounds and the means and modalities currently available to achieve healing in such patients. Recent Advances: Although often difficult to treat, an understanding of the underlying pathophysiology and specific attention toward managing these perturbations can often lead to successful healing. Critical Issues: Overcoming the factors that contribute to delayed healing are key components of a comprehensive approach to wound care and present the primary challenges to the treatment of chronic wounds. When wounds fail to achieve sufficient healing after 4 weeks of standard care, reassessment of underlying pathology and consideration of the need for advanced therapeutic agents should be undertaken. However, selection of an appropriate therapy is often not evidence based. Future Directions: Basic tenets of care need to be routinely followed, and a systematic evaluation of patients and their wounds will also facilitate appropriate care. Underlying pathologies, which result in the failure of these wounds to heal, differ among various types of chronic wounds. A better understanding of the differences between various types of chronic wounds at the molecular and cellular levels should improve our treatment approaches, leading to better healing rates, and facilitate the development of new more effective therapies. More evidence for the efficacy of current and future advanced wound therapies is required for their appropriate use.

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Regression-based statistical mediation and moderation analysis in clinical research: Observations, recommendations, and implementation.

Andrew Hayes, Nicholas J Rockwood (2017)

There have been numerous treatments in the clinical research literature about various design, analysis, and interpretation considerations when testing hypotheses about mechanisms and contingencies of effects, popularly known as mediation and moderation analysis. In this paper we address the practice of mediation and moderation analysis using linear regression in the pages of Behaviour Research and Therapy and offer some observations and recommendations, debunk some popular myths, describe some new advances, and provide an example of mediation, moderation, and their integration as conditional process analysis using the PROCESS macro for SPSS and SAS. Our goal is to nudge clinical researchers away from historically significant but increasingly old school approaches toward modifications, revisions, and extensions that characterize more modern thinking about the analysis of the mechanisms and contingencies of effects.

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Author and article information

Journal

Journal ID (nlm-ta): Patient Prefer Adherence

Journal ID (iso-abbrev): Patient Prefer Adherence

Journal ID (publisher-id): ppa

Title: Patient preference and adherence

Publisher: Dove

ISSN (Electronic): 1177-889X

Publication date (Electronic): 09 January 2024

Publication date Collection: 2024

Volume: 18

Pages: 53-67

Affiliations

[1 ]Wuxi School of Medicine, Jiangnan University , Wuxi, People’s Republic of China

[2 ]Department of Burn and Plastic Surgery, Affiliated Hospital of Jiangnan University , Wuxi, People’s Republic of China

Author notes

Correspondence: Minlie Yang, Department of Burn and Plastic Surgery, Affiliated Hospital of Jiangnan University , No. 1000 Hefeng Road, Binhu District, Wuxi, 214122, People’s Republic of China, Email jndxfsyyyml@163.com

Author information

Yuhuan Qiu http://orcid.org/0000-0001-6052-5157

Shujun Fan http://orcid.org/0009-0005-4105-1853

Article

Publisher ID: 446219

DOI: 10.2147/PPA.S446219

PMC ID: 10787554

PubMed ID: 38223440

SO-VID: 5ae478e8-e8b2-462c-8c51-ace2b691f3f0

License:

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

History

Date received : 03 November 2023

Date accepted : 29 December 2023

Page count

Figures: 2, Tables: 5, References: 78, Pages: 15

Funding

Funded by: Top Talent Support Program for young and middle-aged doctor of Wuxi Health Committee;

This work was supported by grants from the Top Talent Support Program for young and middle-aged doctor of Wuxi Health Committee (BJ2020046).

Fatalism as a Mediator of the Association Between Family Resilience and Self-Management Among Patients with Chronic Wounds in China

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Abstract

Purpose

Participants and Methods

Results

Conclusion

Related collections

Negative Pressure Wound Therapy

Most cited references 78

SPSS and SAS procedures for estimating indirect effects in simple mediation models

Challenges in the Treatment of Chronic Wounds

Regression-based statistical mediation and moderation analysis in clinical research: Observations, recommendations, and implementation.

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